Individual
IRINA NIAZOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
9610 METROPOLITAN AVE, FOREST HILLS, NY 11375-6625
(718) 459-0400
(718) 670-6479
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
307200
NY
Other
Enumeration date
12/16/2014
Last updated
09/16/2025
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